Individual
MARY KAITLYN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3004 US HIGHWAY 23 N, WEBER CITY, VA 24290-7087
(276) 386-2118
Mailing address
3004 US HIGHWAY 23 N, WEBER CITY, VA 24290-7087
(276) 386-2118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48206
TN
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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